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Objective Sensory Changes Following Subfascial Breast Augmentation.

¹Dr Brown is a plastic surgeon in private practice in Melbourne, Australia.

Aesthetic Surgery Journal

|February 18, 2016

Summary

Most women regain breast sensation after augmentation, though some experience temporary deficits in specific areas. Factors like younger age and higher BMI may influence sensory recovery following the procedure.

Area of Science:

Plastic Surgery
Reconstructive Surgery
Aesthetic Surgery

Background:

Sensory alterations are common after breast augmentation.
Understanding the incidence, pattern, and recovery of sensory changes is crucial for patient informed consent.

Purpose of the Study:

To investigate sensory changes after subfascial breast augmentation.
To assess the impact of implant-induced breast volume changes on sensation.

Main Methods:

162 patients undergoing subfascial breast augmentation were evaluated.
Sensory testing using Semmes Weinstein monofilament was performed preoperatively and at 2, 6, and 12 weeks postoperatively.
Breast volume changes were calculated to determine the percentage increase from the implant.

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Main Results:

92.5% of patients regained preoperative sensation by 12 weeks, except in lower-outer quadrants (16.15%).
4% of nipple-areolar complexes (NAC) did not return to preoperative sensitivity levels.
Younger patients, those with higher BMI, or thicker soft tissue envelopes were more prone to sensory deficits. No association was found between the percentage increase in breast volume and sensory deficits.

Conclusions:

Subfascial breast augmentation with volume increases up to 102% resulted in 4% NAC sensory loss at 12 weeks.
The lower-outer quadrant is the most common area for diminished sensitivity, linked to inframammary crease incisions.
This study aids in monitoring patient recovery after subfascial breast augmentation.